UTI in Children

UTI in Children

PHE URINE

CKS

NICE

Child <3 mths: refer urgently for assessment.

Child ≥ 3 mths: use positive nitrite to guide.

Start antibiotics: also send pre-treatment MSU.

Imaging: only refer if child <6 months, or recurrent or atypical UTI.

Upper UTI - refer to paediatrics to: obtain urine sample, assess for signs of systemic infection; consider systemic antimicrobials

Lower UTI:

trimethoprim

or nitrofurantoin

IF susceptible, amoxicillin

Second line: cefalexin

child dose

child dose

 

3 Days

Upper UTI: Consider referral to Paediatrics

co-amoxiclav

Second line: cefixime

child dose

7-10  days